Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $7,943.28	Facility		$891.25	$1,122.02	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,047.13	Professional		$645.65	$851.14	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $6,606.93	Facility		$426.58	$660.69	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $1,047.13	Facility		$707.95	$851.14	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,023.29	Facility		$436.52	$660.69	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $46,773.51 / $56,234.13	Facility		$33,884.42	$46,773.51	$56,234.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13